Rodgveller, Barry Neal

Rodgveller, Barry Neal is an individual health care provider with primary practice located at 1360 W 6Th St Suite 240, San Pedro CA 90732-3589. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Rodgveller, Barry Neal can be contacted via phone (310) 548-3311.

Contact Information

Primary practice address
1360 W 6Th St Suite 240 San Pedro CA 90732-3589
Phone: (310) 548-3311
Fax: (310) 548-3384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E1681 California

Profile Details

NPI number 1598755159
LBN Legal business name Rodgveller, Barry Neal
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jun 24th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598755159 NPPES
California MEDICAID 000E16810

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